一方∶治吐血连日不止,粥饮药俱不能下。五灵脂(拣去石净者) 碾为末,以狗胆汁为
丸,如芡实大。每服一丸,煎生姜酒磨令极冷,更以少姜酒化,以汤荡药,令极热,先须煮下
热粥,候温吃药,一边进粥。待患人吃饮药,不可漱口,即与粥吃可也,吃粥亦不宜多。
一方∶治伤力吐血。猪肝煮熟切片,蘸白芨末嚼之。
一方∶治吐血及衄血。用船底青苔如鸡子大一丸,水一盏,煎五分,去渣温服效。
一方∶治酒色伤心肺,口鼻俱出血。用荆芥穗烧灰存性,置地上出火毒,为末,每服三
钱,陈米饮调下。
一方∶治吐衄下血俱效。用粟漆树叶烙干为末,每服二钱,米饮调下。
一方∶用紫参为末,每服三钱,水一盏,煎五分,温服。治一切吐衄咯血,腹中积血俱效。
一方∶用百合捣绞汁,和水饮之,煮熟食之。
一方∶用人参为末,鸡子清投新汲水搅匀,调服一钱。
滑伯仁医一人呕血,甚至盈盆,二年,素劳役,致中气损,先与八宝散;一二日,服黄芩
芍药汤;少有动作,
即进犀角地黄汤加桃仁、大黄;稍间服宁神散,有痰用礞石丸。其脉始芤大,后渐平,三
月而愈,屡获安验。
又一人冒暑,吐血甚,胸拒痛,身热头眩,脉洪而滑。曰∶此必大醉冒暑,血壅为暑迫
上行。先与犀角地黄汤,继服桃仁承气汤。去瘀血后,治暑而安。
沧州翁治一人,宪使出道病。察色切脉,面戴阳,气口脉皆弦,而盖伤寒合病也。以方涉
海,为风涛所惊,遂血菀而神摄。为热所搏,故血吐胁痛,烦渴谵语。一医诊脉,左尺不应,为
肾气以绝。泣告左右,惧甚。余曰∶今年岁运左尺当不应,此天和脉,无忧也。以小柴胡减参加
生地黄半剂。俟胃气实,以桃仁承气汤下之,得利遂安。
朱丹溪治一人咳嗽吐血。四物汤加贝母、栝蒌、五味子、桑皮、杏仁、冬花、柿霜。一人
年五十,劳嗽吐血。以人参、白术、茯苓、百合、白芍药、红花、黄 、半夏、桑白皮、杏仁、
甘草、阿胶、诃子、青黛、栝蒌、海粉、五味子、天门冬。一人年三十,咳嗽吐血,以四物、
生地、桑皮、杏仁、冬花、五味、天门冬、桔梗、知母、贝母、黄芩。
一方:治疗吐血连续多日不止,连粥和药汤都无法服下。取五灵脂(挑选去除砂石杂质并洗净者),碾磨成粉末,用狗胆汁作为粘合剂制成丸剂,大小如芡实。每次服用一丸,用生姜酒煎煮后研磨至极冷,再辅以少量姜酒化开,用热水荡涤药丸使其极热,事先先煮好热粥,待粥温时服药,同时进食粥食。等待病人服用药物和饮食时,不要漱口,立即给予粥吃即可,喝粥也不宜过多。
另一方:治疗因用力过度导致的吐血。将猪肝煮熟后切片,蘸取白及粉末咀嚼食用。
一方:治疗吐血及鼻出血(衄血)。取船底生长的青苔,如鸡蛋大一丸,加水一盏,煎煮至剩余五分水量,去渣后温服,效果显著。
一方:治疗因饮酒和房劳损伤心与肺,导致口鼻均出血。取荆芥穗烧成炭灰但保留药性(存性),放置在地上以散发火毒,研为粉末,每次服用三钱,用陈年米汤调服。
一方:治疗吐血、鼻出血及下部出血均有效。取粟漆树叶烤干后研为粉末,每次服用二钱,用米汤调服。
一方:使用紫参研为粉末,每次服用三钱,加水一盏,煎煮至剩余五分水量,温服。治疗各种吐血、鼻出血、咯血以及腹中积血均有效。
一方:使用人参研为粉末,用鸡蛋清投入新汲水中搅拌均匀,调服一钱。
滑伯仁曾治疗一位呕吐血液的病人,血量甚至盈满盆器,病程两年。患者平素从事体力劳动,导致中气受损。先用八宝散;一二日后,服用黄芩芍药汤;稍有活动,即进服犀角地黄汤加桃仁、大黄;稍缓解后服用宁神散,若有痰则使用礞石丸。其脉象起初呈芤大之象,后来逐渐平和,三个月痊愈,多次获得安全验证。
又有一人中暑,吐血严重,胸部拒按疼痛,身体发热头晕,脉象洪大而滑。滑伯仁说:“这必定是大醉后冒受暑邪,血液壅滞被暑热逼迫上行所致。”先用犀角地黄汤,继服桃仁承气汤。去除瘀血后,再治暑邪而安。
沧州翁治疗一位宪使出行途中患病的人。观察面色切诊脉象,面部泛红戴阳,气口脉皆弦,这是伤寒合病。因为涉水渡海,被风涛惊吓,导致血液郁结而神志收敛。被热邪搏结,所以出现吐血、胁痛、烦躁口渴、胡言乱语。一位医生诊脉,发现左尺脉不应指,认为是肾气已绝。病人哭泣着告诉身边的人,非常恐惧。我说:“今年岁运左尺脉本就不应指,这是天和脉,无需担忧。”用小柴胡汤减去人参,加入生地黄,服用半剂。等到胃气充实,再用桃仁承气汤攻下,得利后便安定下来。
朱丹溪治疗一位咳嗽吐血的病人。使用四物汤加贝母、栝蒌、五味子、桑白皮、杏仁、冬花、柿霜。又有一位五十岁的病人,劳嗽吐血。使用人参、白术、茯苓、百合、白芍药、红花、黄芩、半夏、桑白皮、杏仁、甘草、阿胶、诃子、青黛、栝蒌、海粉、五味子、天门冬。还有一位三十岁的病人,咳嗽吐血,使用四物汤、生地、桑白皮、杏仁、冬花、五味子、天门冬、桔梗、知母、贝母、黄芩。
One prescription: For treating hematemesis (vomiting blood) persisting for several days, where neither porridge nor medicinal decoctions can be swallowed. Take Wu Ling Zhi (Trogopterus Dung), selecting those free of stones and impurities, grind into powder, and use Dog Bile to form pills the size of a Chinese Quince seed. Administer one pill per dose. Grind the pill in Ginger Wine that has been boiled and cooled to extreme coldness, then dissolve with a small amount of Ginger Wine. Rinse the medicine with hot water to make it extremely hot. First, cook hot porridge; when warm, take the medicine while eating the porridge simultaneously. When the patient takes the medicine and food, do not rinse the mouth; immediately give porridge. The intake of porridge should not be excessive.
Another prescription: For treating hematemesis caused by physical strain. Cook Pig Liver until done, slice it, and chew it dipped in Bai Ji (Bletilla Rhizome) powder.
One prescription: For treating hematemesis and epistaxis (nosebleed). Take Green Moss from the bottom of a boat, forming a pill the size of an egg. Add one cup of water, boil until reduced to two-fifths of the original volume, remove dregs, and take warm. Effective.
One prescription: For treating bleeding from both mouth and nose due to heart and lung injury from alcohol consumption and sexual excess. Burn Jing Jie Sui (Schizonepeta Spike) to ash but retain its medicinal property (Cun Xing), place on the ground to eliminate fire toxicity, grind into powder. Take 3 qian per dose, mixed with aged Rice Water.
One prescription: Effective for hematemesis, epistaxis, and lower body bleeding. Take Su Qi Ye (Leaves of Rhus succedanea or similar tree used for lacquer) baked dry, grind into powder. Take 2 qian per dose, mixed with Rice Water.
One prescription: Use Zi Shen (Adenophora Root) ground into powder. Take 3 qian per dose, add one cup of water, boil until reduced to two-fifths of the original volume, take warm. Effective for all types of hematemesis, epistaxis, hemoptysis (coughing up blood), and intra-abdominal blood stasis.
One prescription: Use Bai He (Lily Bulb), crush and squeeze out the juice, mix with water and drink. Alternatively, cook and eat.
One prescription: Use Ren Shen (Ginseng) ground into powder. Mix with Egg White (Ji Zi Qing) poured into fresh well water, stir evenly, and take 1 qian mixed with liquid.
Sl Bo Ren treated a patient who vomited blood so profusely that it filled a basin, lasting for two years. The patient had a history of laborious work, leading to damage of Middle Qi (Spleen and Stomach Qi). Initially administered Ba Bao San (Eight-Treasure Powder); after one to two days, Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) was given. With slight movement, Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) plus Tao Ren (Peach Kernel) and Da Huang (Rhubarb) were advanced. When slightly relieved, Ning Shen San (Spirit-Calming Powder) was taken; if phlegm was present, Meng Shi Wan (Magnesite Pill) was used. The pulse was initially Kou Da (Hollow and Large), gradually becoming level. The patient recovered in three months, with repeated successful outcomes.
Another patient suffered severe heatstroke with heavy hematemesis, chest pain upon pressure, fever, and dizziness. The pulse was Hong Hua Er Hua (Surging, Large, and Slippery). Sl Bo Ren stated: "This must be due to heavy drinking followed by exposure to summer-heat, causing blood stagnation forced upward by the heat." Initially administered Xi Jiao Di Huang Tang, followed by Tao Ren Cheng Qi Tang (Peach Kernel and Magnolia Bark Decoction). After removing blood stasis, the summer-heat was treated, resulting in recovery.
Weng of Cangzhou treated a Censor who fell ill during a journey. Upon inspecting the complexion and palpating the pulse, the face showed Dai Yang (floating yang/false heat), and the Qi Kou (Radial Artery at the wrist) pulse was Xian (Wiry). This was identified as Tai Yang disease combined with other pathogens. Having crossed the sea, the patient was frightened by wind and waves, leading to blood depression and spirit constriction. Combining with heat, this caused hematemesis, hypochondriac pain, irritability, thirst, and delirium. Another physician diagnosed the absence of the Left Chi (Kidney) pulse, concluding that Kidney Qi was exhausted. The patient wept and informed his attendants, fearing greatly. Weng said: "In the current year's annual cycle, the Left Chi pulse is expected to be absent; this is a Tian He Mai (Natural Harmony Pulse), no need to worry." A half dose of Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Ren Shen removed and Sheng Di Huang (Rehmannia Root) added was given. Once Stomach Qi was solidified, Tao Ren Cheng Qi Tang was used to purge, leading to relief upon bowel movement.
Zhu Danxi treated a patient with cough and hemoptysis using Si Wu Tang (Four Substances Decoction) plus Bei Mu (Fritillaria Bulb), Gua Lou (Trichosanthes Fruit), Wu Wei Zi (Schisandra Berry), Sang Bai Pi (Mulberry Root Bark), Xing Ren (Apricot Seed), Dong Hua Hua (Kolkwitzia Flower), and Shi Shuang (Persimmon Frost). Another patient, aged fifty, suffered from chronic cough and hemoptysis due to overwork. The prescription included Ren Shen, Bai Zhu (Atractylodes Rhizome), Fu Ling (Poria), Bai He, Bai Shao Yao (White Peony Root), Hong Hua (Safflower), Huang Qin (Scutellaria Root), Ban Xia (Pinellia Tuber), Sang Bai Pi, Xing Ren, Gan Cao (Licorice Root), E Jiao (Donkey-hide Gelatin), He Zi (Chebulic Myrobalan), Qing Dai (Indigo Naturalis), Gua Lou, Hai Fen (Sea Flour/Starch), Wu Wei Zi, and Tian Men Dong (Asparagus Root). A third patient, aged thirty, with cough and hemoptysis, was treated with Si Wu Tang, Sheng Di Huang, Sang Bai Pi, Xing Ren, Dong Hua Hua, Wu Wei Zi, Tian Men Dong, Jie Geng (Platycodon Root), Zhi Mu (Anemarrhena Rhizome), Bei Mu, and Huang Qin.